A comparative study of rectal, tympanic and axillary thermometry in febrile Nigerian children under five years of age

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dc.contributor.authorAbdulkadir, Mohammed Baba
dc.contributor.authorJohnson, Wahab Babatunde Rotimi
dc.date.accessioned2021-04-21T12:52:51Z
dc.date.available2021-04-21T12:52:51Z
dc.date.issued2013
dc.description.abstractBackground: Fever alone accounts for over 25% of paediatric emergency room consultations. Accurate determination of temperature is critical for the management of sick children by both parents and health care-providers. Aims and Objectives: To compare simultaneous measurements of temperature measured by the rectal, axillary, and tympanic routes in children under 5 admitted to the University of Ilorin Teaching Hospital. Methods: 400 children under 5 years of age with a rectal temperature of ยง38.0uC were recruited consecutively into the study. Rectal and axillary temperatures were measured using digital thermometers. Tympanic measurements were undertaken with an infrared tympanic thermometer. All measurements were made simultaneously and compared. Results: Mean (SD) rectal temperature was 38.8 (0.7)uC, and mean (SD) tympanic and axillary temperatures were 38.7 (0.7)uC and 38.1 (0.7)uC, respectively. There was no significant difference between rectal and tympanic temperatures (P50.14), and a strong correlation was identified between values from these two sites (r50.91). At 91.5%, the sensitivity of tympanic thermometry in determining fever was higher than that of axillary measurements (54.0%). A mathematical relationship was demonstrated between rectal/tympanic temperatures and between rectal/axillary temperatures as follows: Rectal temperature (uC)56.03z0.85 * Mean tympanic temperature (uC) Rectal temperature (uC)511.7z0.71 * Axillary temperature (uC) Conclusion: In febrile children, tympanic temperature better reflects rectal temperature than does axillary temperature; tympanic temperature should therefore be measured when there are no contra-indications for its use.en_US
dc.description.sponsorshipSelf fundeden_US
dc.identifier.citation9. Abdulkadir, M.B., & Johnson,โ€˜W.B.R. (2013): A comparative study of rectal, tympanic and axillary thermometry in febrile Nigerian children under five years of age. Paediatrics and International Child Health. 33(3);165-169.en_US
dc.identifier.urihttps://uilspace.unilorin.edu.ng/handle/20.500.12484/4757
dc.language.isoenen_US
dc.publisherPaediatrics and International Child Healthen_US
dc.subjectTemperatureen_US
dc.subjectFeveren_US
dc.subjectTympanicen_US
dc.subjectRectalen_US
dc.subjectAxillaryen_US
dc.titleA comparative study of rectal, tympanic and axillary thermometry in febrile Nigerian children under five years of ageen_US
dc.typeArticleen_US

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